MR. BRADLEY BERNARD BRUSH M.A., L.P.C., N.C.C.
NPI 1356571855
Counselor - Professional in Hurst, TX
Active since July 17, 2009
About Mr. Bradley Bernard Brush M.a., L.p.c., N.c.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BRADLEY BERNARD BRUSH M.A., L.P.C., N.C.C. (NPI 1356571855) is an individual professional provider in Hurst, Texas, licensed in Texas (14329) and active in the NPI registry since July 2009.
NPPES Registry Identity
NPI1356571855
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. BRADLEY BERNARD BRUSHCredential: M.A., L.P.C., N.C.C.
Location Address1864 N. NORWOOD DR., STE. D.Hurst, TX 76054
Mailing Address1864. N. Norwood Dr., Ste. D.Hurst, TX 76054 · (817) 391-0771
Phone(817) 391-0771
Sole ProprietorYes
Enumeration DateJuly 17, 2009
✔ NPI 1356571855 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 14329
1864 N. NORWOOD DR., STE. D., Hurst, TX 76054
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356571855, enumerated as an "individual" on July 17, 2009.
The provider is located at 1864 N. NORWOOD DR., STE. D. HURST, TX 76054 and the phone number is (817) 391-0771.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
